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Online Registration Form For Class XI (2020-2021)
Date Of Application :
Student's Name	Enter Student Name
Gender	Select Gender Male Female   Select Gender
Date Of Birth	Select Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31      Select Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec      Select Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 * *
DOB(in words)
Blood Group	Select Blood Group O + O - A + A - B + B - AB + AB -	Parent	Select if Applicable Father Mother Both
Category	Select Category Gen ST SC OBC Phy.H Select Category	Nationality
For Class / Stream	Select Class XI SCIENCE(PCM) XI SCIENCE(PCB) XI COMMERCE ARTS Select Class	Religion	Select Religion Hindu Muslim Sikh Christian Parsi Jain Buddhist Others Select Religion
Science Stream(PCM):- Compulsory	English,Math,Phy,Chem	Select 5th & 6th Subject	PAINTING(5TH),PHY EDU(6TH) PAINTING(5TH),COMPUTER(6TH) PAINTING(5TH),BIOLOGY(6TH)
Science Stream(PCB):- Compulsory	English, Phy, Chem,Bio	Select 5th & 6th Subject	PAINTING(5TH),PHY EDU(6TH) PAINTING(5TH),COMPUTER(6TH) PAINTING(5TH),MATHEMATICS(6TH)
Commerce Stream:- Compulsory	English,Accounts,B.St,Eco	Select 5th & 6th Subject	PAINTING(5TH),PHY EDU(6TH) PAINTING(5TH),COMPUTER(6TH) PAINTING(5TH),MATHEMATICS(6TH)
Arts Stream:- Compulsory	-	Select 5th & 6th Subject	- -
Sibling Real Brother/Sister Only, Select If Yes	Select One Yes No Select One
If Sibling In The Same School, Give Detail Of Sibling
Father's Name	Enter Father's Name	Mother's Name	Enter Mother's Name
Qualification	Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation P G Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others Enter Qualification	Qualification	Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation Post Graduation Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others Enter Qualification
Occupation	Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant Others Enter Occupation	Occupation	Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant House Wife Others Enter Occupation
CCL/Non CCL/CMPDI/Others	Cannot Be Blank	CCL/Non CCL/CMPDI/Others	Select One Yes No
Designation		Designation
Monthly Income		Monthly Income
Office Address		Office Address
Mobile No.1	Enter Mobile No	Mobile No.1	Mobile No
Mobile No.2		Mobile No.2
Fax No.		Fax No.
Bus Facility	Select Yes No
Present Address	(Pls give the Dist. Name also) Enter Present Address	Permanent Address	(Pls give the Dist. Name also)Enter Permanent Address
City	Enter Present City	City	Enter Permanent City
State	Enter Present State	State	Enter Permanent State
Nation		Nation
Pin Code	Enter Pin Code	Pin Code	Enter Pin Code
Phone No.		Phone No.
Mobile No.1		Mobile No.1
Mobile No.2		Mobile No.2
Email Id (Login Email Id)
Last School Name & Address		Dist :	Pin :
Year of Passing Class X.		Adhar Card Number
Mode Of Payment	DD
Demand Draft No.		Demand Draft Date
DD Amount		Issuing Bank Name
Name of Board	Select CBSE ICSE JAC OTHER BOARD	Board Roll No	Enter Roll No/Roll Code